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<html>
 <head>
  <title>Sign Up page</title>

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<link rel="stylesheet" type="text/css" href="signup.css" />
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 <body>
 <div id="header">
		<a href="home.html" class="logo"><img src="images/logo.jpg" alt="" width="274" height="90" /></a>		
         		
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		<ul id="menu">
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			<li><a href="home.html" >Home Page</a></li>
			<li><a href="aboutus.html" >Company Profile</a></li>
			<li><a href="tours.html" >Tours and Packages</a></li>
			<li><a href="visa.html">Visa Procedures & Assistance</a></li>
			<li><a href="booking.php" >Bookings</a></li>
			<li><a href="feedback.php" >Feedback</a></li>
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			<li><a href="maps.html" >Trip Planner</a></li>
			
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	</div>

 <center>

<div align="center">
<div id="signup">
<br>

<img src="images/reg.jpg" width="127" height="30"/> 

<center></center><br />

<form name="register" method="post"  action="signedup.php" onSubmit="return signvalidate()">
  <table width="458" border="0">  
    <tr>
      <td width="154"><div align="right"><label class="labelcell">Username:&nbsp;</label></div></td>
      <td width="274"><input id="username" size="20" type="text" name="username"></td>
      <td width="322" align="left"><div id="status"></div></td>
    </tr> 

	<tr>
      <td width="154"><div align="right"><label class="labelcell">Password:&nbsp;</label></div></td>
      <td width="274"><input size="20" type="password" name="password" onBlur="check_password(val)"></td>
    </tr> 

	<tr>
      <td width="154"><div align="right"><label class="labelcell">Confirm Password:&nbsp;</label></div></td>
      <td width="274"><input size="20" type="password" name="confirm_password" onBlur="check_password()"></td>
    </tr>
    
    <tr>
      <td width="154"><div align="right"><label class="labelcell">Name:&nbsp;</label></div></td>
      <td width="274"><input size="20" type="text" name="name"></td>
    </tr> 
       <tr>
      <td width="154"><div align="right"><label class="labelcell">Gender:&nbsp;</label></div></td>
      <td width="274"><input type="radio" name="gender" value="male"/><label class="labelcell">male </label>
  <input type="radio" name="gender" value="female" /><label class="labelcell">female</label></td>
    </tr>  
    	 <tr>
      <td width="154"><div align="right"><label class="labelcell">Date of Birth:&nbsp;</label></div></td>
      <td width="274"><select name="d"> 
    <option>01 </option>
    <option>02 </option> 
    <option>03</option> 
    <option>04 </option>
    <option>05 </option>
    <option>06 </option>
    <option>07 </option>
    <option>08 </option> 
    <option>09 </option>
    <option>10 </option>
    <option>11 </option>
    <option>12 </option>
    <option>13 </option>
    <option>14 </option>
    <option>15 </option>
    <option>16 </option>
    <option>17 </option>
    <option>18 </option>
    <option>19 </option>
    <option>20</option> 
    <option >21</option> 
    <option >22</option> 
    <option >23</option> 
    <option >24</option> 
    <option >25</option> 
    <option >26</option> 
    <option >27</option> 
    <option>28</option> 
    <option >29</option> 
    <option >30</option> 
    <option >31</option>
  </select><select name="m"> 
    <option>01</option>
    <option>02 </option>
    <option>03 </option>
    <option>04 </option>
    <option>05 </option>
    <option>06 </option>
    <option>07 </option>
    <option>08 </option>
    <option>09 </option>
    <option>10 </option>
    <option>11 </option>
    <option>12 </option>
  </select> 
  <select name="y"> 
    <option>1980 </option>
    <option>1981 </option>
    <option>1982 </option>
    <option>1983 </option>
    <option>1984 </option>
    <option>1985 </option>
    <option>1986 </option>
    <option>1987 </option>
    <option>1988 </option>
    <option>1989 </option>
    <option>1990 </option>
    <option>1991 </option>
    <option>1992 </option>
    <option>1993 </option>
    <option>1994
      <option>1991 </option>
    <option>1995 </option>
    <option>1996 </option>
    <option>1997 </option>
    <option>1998 </option>
    </option>
    <option>1999 </option>
    <option>2000 </option>
    <option>2001 </option>
    <option>2002 </option>
    <option>2003 </option>
    <option>2004 </option>
    <option>2005 </option>
    <option>2006 </option>
    <option>2007 </option>
    <option>2008 </option>
    <option>2009 </option>
    <option>2010 </option>
  </select> 
  </td>
    </tr> 
    <tr>
      <td width="154"><div align="right"><label class="labelcell">Age:&nbsp;</label></div></td>
      <td width="274">  <input type="text" name="age" onKeyPress="return chknum()"; width="25"/> 
</td>
    </tr> 
    <tr>
      <td width="154"><div align="right"><label class="labelcell">Passport:&nbsp;</label></div></td>
      <td width="274"><input type="text" name="passport"/></td>
    </tr> 
     
     <tr>
      <td width="154"><div align="right"><label class="labelcell">Nationality:&nbsp;</label></div></td>
      <td width="274">  <input type="text" name="nationality"/> </td>
    </tr>
    
     <tr>
      <td width="154"><div align="right"><label class="labelcell">E-mail:&nbsp;</label></div></td>
      <td width="274"><input type="text" name="email"/> </td>
    </tr>        
      <tr>
      <td width="154"><div align="right"><label class="labelcell">Contact:&nbsp;</label></div></td>
      <td width="274">  <input type="text" name="contact" onKeyPress="return chknum()";/></td>
    </tr> 
    
    <tr>
      <td width="154"><div align="right"><label class="labelcell">Address:&nbsp;</label></div></td>
      <td width="274"><textarea name="address" rows="5" cols="25"></textarea></td>
    </tr>             
        
        <tr>
      <td width="154"><div align="right"><input type="submit" value="submit"/> &nbsp;</div></td>
       <td width="274"></td>
      </tr>
  </table>
  <br><br>
  </form>
  </div>
</div></center>

</div>
 <div id="footer">
		<ul>
			<li></li>
			<li></li>
			<li></li>
			<li></li>
			<li><a href="home.html">Home Page</a>|</li>
			<li><a href="aboutus.html">Company Profile</a>|</li>
			<li><a href="tours.html">Tours and Packages</a>|</li>
			<li><a href="Visa.html">Visa Procedures & Assistance</a>|</li>
            <li><a href="Bookings.html">Bookings</a>|</li>
			<li><a href="Feedback.html">Feedback</a>|</li>
			<li><a href="Sitemap.html">Sitemap</a>|</li>
			<li><a href="Tripplanner.html">Trip Planner</a>|</li>
		</ul>
																																																					
	</div>
 
 </body>
</html>